Federal inspection record · CMS data as of October 1, 2026
Tybee Island Trails of Journey LLC
26 Van Horne Street, Tybee Island, GA · (912) 786-4511
- Certified beds
- 50
- Residents per day
- 48
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Georgia.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Georgia homes
Tybee Island Trails of Journey LLC carries 67 inspection points. That is fewer than 19% of Georgia's 354 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Georgia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–24 pts
- 3★ 24–39 pts
- 2★ 39–67 pts
- 1★ over 67 pts
Bars show every rated home in Georgia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Rights8E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning2E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Environmental2F
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2026-01-30
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-10-28
11 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-06-08
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 21 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
2 h 21 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 78% of nursing staff and 80% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-30 | Payment Denial · 11 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.6 | 2.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.5 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts worse | 87.4% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts better | 96.1% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 5.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms62.2 pts worse | 73.9% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 6.8% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.4 pts worse | 22.9% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication32.7 pts worse | 52.5% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.9 pts better | 6.8% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 15.8% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.5% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 1.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.1 pts better | 3.3% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 7.8% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine46 pts worse | 34.6% | 80.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7 pts better | 4.3% | 11.3% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts better | 18.2% | 24.4% | 23.4% |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress8E
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Install proper backup exit lighting.
- D
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke6E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Have properly sized and located compartments to protect residents from smoke.
Miscellaneous2E
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of portable space heaters.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
·
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